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2022

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A Standardized Transition To Practice Program For Novice Advanced Practice Registered Nurse(S) In A Federally Qualified Health Center Setting, Taína R. Lopez-Cartagena Jan 2022

A Standardized Transition To Practice Program For Novice Advanced Practice Registered Nurse(S) In A Federally Qualified Health Center Setting, Taína R. Lopez-Cartagena

Yale School of Nursing Digital Theses

Novice Advanced Practice Registered Nurses in Federally Qualified Health Centers are expected to assimilate to the autonomous clinician role rapidly and meet the threshold of clinical expertise required for their new role. Mentorship is widely demonstrated in the literature as an important resource during onboarding and transition. Mentorship and social support facilitate appropriate novice Advanced Practice Registered Nurse role transition and attainment. This project employs a literature review, surveys and interviews of Advanced Practice Registered Nurses and the implementation of a transition-to-practice program in a federally qualified health center. Results of this project indicate that a structured transition-to-practice program can …

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Enhancing The Assessment Of Suicidal Ideation In The Long-Term Care Environment: A Quality Improvement Project, Carissa Ann Tufano Jan 2022

Enhancing The Assessment Of Suicidal Ideation In The Long-Term Care Environment: A Quality Improvement Project, Carissa Ann Tufano

Yale School of Nursing Digital Theses

Abstract Despite high rates of depression and risk factors for suicide, there is a knowledge deficit and lack of protocol surrounding the assessment of suicidal ideation in the long-term care setting. Although studies examining suicide in the long-term care setting are lacking, the prevalence of suicidal ideation is high. This DNP quality improvement project addressed this problem by creating a suicide assessment and management inservice for frontline clinical staff at a skilled nursing facility in Connecticut. The inservice integrated use of an adapted suicide assessment algorithm and a suicide screening tool, the P4 Screener. A SAMHSA toolkit was utilized as …

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The Application Of Poka-Yoke To Administration Functions Within An Organisation., Craig Dixon Woodward Jan 2022

The Application Of Poka-Yoke To Administration Functions Within An Organisation., Craig Dixon Woodward

School of Engineering, Computing and Mathematics Theses

Poka-yoke is a quality assurance technique developed by Shigeo Shingo in the 1960s. It is based on the theory that errors and defects have a cause and effect relationship. A defect is purely the effect of an error and by employing poka-yoke devices within processes to remove errors, defects can also be eliminated. The use of poka-yoke has made a significant contribution to organisations' ability to effectively control their core manufacturing processes but little attention has been given to the mistake-proofing of the surrounding administration or support processes. This thesis provides a definition of "administration" and justifies the need for …

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Machine Learning-Based Exploration Of Blood-Based Biomarkers For Alzheimer’S Disease Diagnosis, Chima Stanley Eke Jan 2022

Machine Learning-Based Exploration Of Blood-Based Biomarkers For Alzheimer’S Disease Diagnosis, Chima Stanley Eke

School of Engineering, Computing and Mathematics Theses

Alzheimer’s disease (AD) is a neurodegenerative disease with typical clinical symptoms in the form of progressive cognitive impairment and memory loss. To facilitate early diagnosis of AD and a greater understanding of the mechanisms underlying its clinical expression, the use of biomarkers is necessary. Furthermore, it is believed that biomarkers provide a more objective and accessible means of diagnosis. Currently, established biomarkers include neuroimaging markers, such as those based on positron emission tomography (PET), and biochemical markers such as cerebrospinal fluid (CSF) markers. However, neuroimaging is expensive and may not be widely available and CSF testing is invasive. Blood-based biomarkers …

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Graphene Based Electrochemical Biosensors For The Detection Of Blood Biomarkers Of Alzheimer’S Disease, Jagriti Sethi Jan 2022

Graphene Based Electrochemical Biosensors For The Detection Of Blood Biomarkers Of Alzheimer’S Disease, Jagriti Sethi

School of Engineering, Computing and Mathematics Theses

Alzheimer’s disease (AD) is a neurodegenerative disorder that affects millions of people around the world with no available treatments to cure, reverse or even slow down the disease progression. Detection of AD in the early stages, before the massive neuronal loss, is key to developing disease-modifying treatments and preventive strategies. The current AD diagnosis is largely based on evaluation tests such as Mini-Mental State Examination (MMSE), imaging techniques such as Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET), and postmortem autopsies. It is expensive and only available at the later/severe stages when the brain of the patient is already damaged …

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Nurses’ Role In Reducing Mental Health Stigma In Health Care, Angel Vivian Mbome Jan 2022

Nurses’ Role In Reducing Mental Health Stigma In Health Care, Angel Vivian Mbome

Walden Dissertations and Doctoral Studies

Many patients with mental illness around the world face mental health-related stigma. Compared to other health care workers, nurses express the highest level of stigmatizing attitudes toward mentally ill patients. The purpose of this project was to change staff nurses’ attitudes in a long-term care facility by educating them on mental health stigma. The practice-focused question guiding this study was whether educating staff nurses on mental health stigma changed nurses’ attitudes and behavioral intentions towards people with mental illness. This project was guided by the constructivist theory of learning. Seventeen staff members voluntarily participated in a 30-minute nursing staff education …

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Pink Bamboo Ceiling: Barriers And Breakthroughs For Asian American Women Leaders, Mele W. Kramer Jan 2022

Pink Bamboo Ceiling: Barriers And Breakthroughs For Asian American Women Leaders, Mele W. Kramer

Walden Dissertations and Doctoral Studies

AbstractAsian Americans are the most diverse and fastest-growing minority group in the U.S. and have the highest average level of education of all minority and dominant groups in America making up 6.2 % of the labor market. However, Asian Americans overall hold one percent of the executive leadership roles in Fortune 500 organizations. Low leadership representation leaves this demographic without a decision-making voice and without power in society. The purpose of this qualitative study was to learn about the lived experiences of Asian American women (AAW) leaders and potential leaders as it pertains to race, gender, and stereotypes in the …

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Links Between Screen Time, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani Jan 2022

Links Between Screen Time, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani

Walden Dissertations and Doctoral Studies

A high-quality, foundational education offers lifelong benefits for young children. The problem is that working memory in pre-school-aged children is declining and could be impaired by the extraneous cognitive load imposed during engagement with screen media apps and/or preschool programs. Although the pedagogical practices associated with Montessori preschool programs have been found supportive of cognitive load germane to learning and improved working memory, they have not been fully considered in relation to preschoolers' screen media use. The cognitive load created by screen media apps could affect their usefulness as learning tools. The purpose of this quantitative study was to discover …

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A Qualitative Study Exploring How Male U.S. Veterans Experience Empathy, Elda Marina Stepp Jan 2022

A Qualitative Study Exploring How Male U.S. Veterans Experience Empathy, Elda Marina Stepp

Walden Dissertations and Doctoral Studies

AbstractThis qualitative study explored the lived experiences of male U.S. combat veterans with empathy and how this features in their transition back into society. Davis’s cognitive and emotional empathy served as the conceptual framework to expand further on this topic. Seven male U.S. combat veterans who had deployed at least once in their military career and lived as civilians for the past 10 to 15 years were interviewed through Zoom. Recruiting methods included social media, veteran meeting places, and snowballing approaches. Results from interpretative phenomenological analysis of the interview data included six main themes: feelings of compassion before deployment, feelings …

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Understanding The Involvement Of Parents Of Children With Disabilities In Island Rural Communities, Catherine Ava Ali Jan 2022

Understanding The Involvement Of Parents Of Children With Disabilities In Island Rural Communities, Catherine Ava Ali

Walden Dissertations and Doctoral Studies

Research shows that parental involvement in children's school life has a positive impact on children's academic and social success, especially for children with disabilities (CWD), and even more so for CWD in island rural communities. The involvement of parents of CWD in primary schools in rural communities in Trinidad and Tobago has not been studied previously. This qualitative case study was conducted to gain a deeper understanding of why parents of CWD in three primary schools in adjacent rural southern communities in an education district in Trinidad do or do not become involved in their children’s education. At the same …

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Experiences Of Counselors Who Provide Services To African American Men With Repeated Domestic Violence Abuse Reports, Miselene Kruer Jan 2022

Experiences Of Counselors Who Provide Services To African American Men With Repeated Domestic Violence Abuse Reports, Miselene Kruer

Walden Dissertations and Doctoral Studies

Domestic violence has been a major concern in the United States. To effectively work with domestic violence offenders, counselors must have the skills and knowledge needed. The purpose of this qualitative phenomenological study was to understand lived experiences of counselors who provide in-home counseling services to African American men who are repeat domestic violence offenders and received a subsequent abuse report within 6 months after in-home services were discontinued. The goal was to try to develop an understanding of experiences of counselors who provide services to these men. Interviews were used to collect data. I used Otter to transcribe all …

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The Relationship Of Servant Leadership And Psychological Safety On Team Performance In Healthcare, Amy Lynn Palmiero Jan 2022

The Relationship Of Servant Leadership And Psychological Safety On Team Performance In Healthcare, Amy Lynn Palmiero

Walden Dissertations and Doctoral Studies

AbstractTeamwork in healthcare is a dynamic and complex process where interdisciplinary individuals must come together to deliver high-quality patient care. Despite significant overall improvements in healthcare delivery, process failures and communication breakdowns continue to be problematic leading to inefficiencies within the healthcare system resulting in higher costs, and in some instances, preventable patient harm. An examination of the relationship between leadership, psychological safety, and team performance provides valuable insight on the importance of the role leadership plays in shaping psychologically safe environments and enhancing team performance. Using servant leadership theory as the framework for this study, a quantitative correlational approach …

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The Growth Of Online Retailing In India, Srinivas Samprathi Jan 2022

The Growth Of Online Retailing In India, Srinivas Samprathi

Walden Dissertations and Doctoral Studies

Industrial experts have agreed that India’s small-scale industries are intensely competitive due to globalization, domestic economic liberalization, and digitization. The purpose of this quantitative correlational study was to evaluate the relationship between transaction costs, customer satisfaction, and customer trust in online shopping with the growth of online retailing in India. The theoretical foundation for this research study was the theory of planned behavior, and the unified theory of acceptance and the use of technology. The research questions examined India’s online retailing growth due to transaction costs, customer satisfaction, and customer trust. The study used a quantitative correlational research design. The …

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Postsecondary Faculty Perceptions Of Social And Emotional Learning Professional Development On Instructional Practice, Kurt Victor Spady Jan 2022

Postsecondary Faculty Perceptions Of Social And Emotional Learning Professional Development On Instructional Practice, Kurt Victor Spady

Walden Dissertations and Doctoral Studies

Mental health distress for students is prevalent on postsecondary campuses, which negatively affects students’ psychological well-being and academic success. The purpose of this basic qualitative study was to examine the influence that social and emotional learning (SEL) professional development focused on respect had on the instructional practice of full-time faculty at a community college in Western Canada. Mezirow’s theory of transformative learning was the conceptual framework that grounded this study. The research question explored faculty perceptions of the influence of Respect-focused training on their instructional practice. This study used purposeful sampling of 12 full-time faculty members who had taken the …

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The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse Jan 2022

The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse

Walden Dissertations and Doctoral Studies

The purpose of this study was to illuminate the magnitude and prevalence of distress symptoms among female breast cancer patients and help identify best social work practices for treating distress symptoms in cancer patients. Using the social cognitive model of restorative well-being, the sustained effects of mindfulness-based interventions on distress symptoms female breast cancer patients experienced were examined in this study. Grounded in social cognitive theory, this model facilitated understanding of the recovery of well-being after an emotional setback. This quantitative experimental study included analysis of secondary data with pre- and post testing with multiple follow ups to measure the …

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Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt Jan 2022

Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt

Walden Dissertations and Doctoral Studies

The Latino/a/x population in the United States continues to increase as does the need for mental health professionals who are bilingual and knowledgeable on multicultural issues. Spanish is the native language spoken in approximately 13% of the households in the United States, with 36% of Spanish-speakers seeking mental health treatment. Research on therapists serving Latino/a/x clients indicated that therapists struggled to provide culturally sensitive and linguistic appropriate interventions. While therapists’ challenges and experiences have been explored, little is known on the therapeutic experiences of Latino/a/x former clients. The purpose of this interpretative phenomenological analysis was to explore the therapeutic experiences …

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Acculturation Experiences Of Formerly Undocumented Jamaican Immigrants In New York, Winston Wallace Jan 2022

Acculturation Experiences Of Formerly Undocumented Jamaican Immigrants In New York, Winston Wallace

Walden Dissertations and Doctoral Studies

All immigrants undergo acculturation. Acculturation in and of itself poses significant challenges for immigrants and even more challenges for undocumented immigrants as they attempt to navigate the immigration system to obtain legal immigration status. This study examined the experiences of former undocumented Jamaican immigrants who lived within the five boroughs of New York (Brooklyn, Bronx, Manhattan, Queens, and Staten Island) during their period of being undocumented. This qualitative study used a virtual face-to-face interview method to inquire about the lived experiences of the 10 participants of the study. A tridimensional acculturation model was used as the conceptual framework to view …

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Human Capital Management Strategies To Sustain Profitability Of Private Sector Companies In Jamaica, Peta Gay Nadia Waugh Jan 2022

Human Capital Management Strategies To Sustain Profitability Of Private Sector Companies In Jamaica, Peta Gay Nadia Waugh

Walden Dissertations and Doctoral Studies

Eighty-two percent of Jamaican workers are employed by micro, small, and medium-sized enterprises, but only 5.1% of private sector entrepreneurial endeavors remain open after 42 months of operations. This low survival rate can inhibit the ability of Jamaican business owners to support their families and provide goods and services to benefit local communities. Grounded in human capital theory, general systems theory, and social change theory, the purpose of this qualitative descriptive multiple case study was to explore strategies CHROs used to sustain the profitability of their private sector companies. Participants comprised three private-sector CHROs officers and three human resource officers …

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The Effects Of Transformational Leadership Coaching On Player Mental Toughness, Richard Anthony James Finch Jan 2022

The Effects Of Transformational Leadership Coaching On Player Mental Toughness, Richard Anthony James Finch

Walden Dissertations and Doctoral Studies

Mental health in adolescents is a growing concern, with between 10 and 20% experiencing problems globally. In this study, transformational leadership coaching was assessed to determine if it effectively reduced the prevalence of mental health issues in adolescents by assessing their mental toughness. No previous studies have examined the relationship between these variables in this population. Transformational leadership theory is the theoretical framework for this study which empowers individuals, developing confidence and producing leadership qualities. Mental toughness is a six-factor construct consisting of life and emotional control, commitment, challenge, interpersonal confidence, and confidence in one's abilities and assessed using the …

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Experiences Of Employers Of Hispanic Immigrants And The Labor Shortage In The United States, Alba M Mathewson Jan 2022

Experiences Of Employers Of Hispanic Immigrants And The Labor Shortage In The United States, Alba M Mathewson

Walden Dissertations and Doctoral Studies

AbstractThere is a labor shortage in the United States that is ever increasing due to the changes in the immigration polices impacting Hispanic immigrants. Historically, Hispanic immigrants have made significant contributions to United States employers. However, recent changes to immigration policies have restricted the availability of Hispanic immigrants in the labor force due to the reduced number of visas. These changes could continue to diminish the global competitiveness of U.S. employers. Using the human capital theory, this narrative qualitative study investigated the lived experiences of employers regarding hiring Hispanic immigrants and employers’ perspectives on the impact Hispanic immigrants have on …

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Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels Jan 2022

Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels

Walden Dissertations and Doctoral Studies

Registered nurses entering the workforce with baccalaureate of science degrees in nursing (BSN) are expected to be knowledgeable and skilled in planning and caring for multicultural patients, but there is little information on what experiences new nurses have in implementing culturally competent care. The purpose of this descriptive phenomenological study, guided by the Campinha-Bacote process of cultural competence in the delivery of health care services model, was to understand the lived experiences of BSN graduates with one year or less experience in implementing cultural competence in planning care for their multicultural patients. The research question directly addressed this purpose. Ten …

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The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier Jan 2022

The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier

Walden Dissertations and Doctoral Studies

Household-level double burden of malnutrition (HL-DBM) challenges traditional South African vertical malnutrition programs. Research has associated a household with an overweight/obese mother of reproductive age and her under 5-year-old child with signs of undernutrition (wasting, stunting, or thinness) with socioeconomic levels, maternal characteristics, features of the household, and child’s demographics. Grounded in the social determinants of health conceptual framework, this study aimed to investigate the determinants of HL-DBM in South Africa across the reproductive-child health continuum. Using the representative 2017 Wave 5 South African National Income Dynamics Study survey secondary data, a total sample of 314 homes met this non-experimental …

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Strategies To Cultivate Long Term Customer Relationships, Chauncelor Roosevelt Howell Jan 2022

Strategies To Cultivate Long Term Customer Relationships, Chauncelor Roosevelt Howell

Walden Dissertations and Doctoral Studies

The failure of long-term customer relationships poses a material threat to the profitability and growth of organizations. Financial service leaders who have difficulties cultivating long-term relationships are at risk of not ensuring their business’s financial stability. Grounded in the concept of customer relationship management, the purpose of this qualitative multiple case study was to explore strategies financial service business leaders use to cultivate long-term customer relationships. Data were collected from 16 financial services business leaders using semistructured interviews and a review of company documents related to customer relationship management and marketing. Data analysis using Yin’s five step method resulted in …

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Association Between Poverty Level And Prehypertension Risk Among U.S. Adults, Cynthia Adeyemi Jan 2022

Association Between Poverty Level And Prehypertension Risk Among U.S. Adults, Cynthia Adeyemi

Walden Dissertations and Doctoral Studies

Prehypertension (PreHTN) is a significant risk factor for hypertension (HTN) that has been observed in both pediatric and adult populations. In the United States, adjusted mortality rate attributed to HTN in 2018 was highest among non-Hispanic Black (NHB) men followed by NHB females. The purpose of this study was to measure whether lowest, middle, and highest poverty group (LMHPG) and PreHTN varied by age, gender, race, and ethnicity (Hispanic compared to non-Hispanic [HcNH]) and whether the association varied by participants responding yes or no to having been told by a doctor or healthcare professional that they have PreHTN. This study, …

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Nicu Services For Preterm Babies: Experiences Of Aghem Women Of Northwest Cameroon, Deudonne Kum Amuam Jan 2022

Nicu Services For Preterm Babies: Experiences Of Aghem Women Of Northwest Cameroon, Deudonne Kum Amuam

Walden Dissertations and Doctoral Studies

The experiences of women with health care services continue to be a challenge for health care workers in providing quality care. Women’s poor impressions of health care services in sub-Saharan Africa stems from the negative behavior of health care workers during the provision of care to mothers and their preterm babies. The lack of data on women's experience with health care services in Cameroon was the problem this study addressed. The study's purpose was to understand Aghem women's experience with health services provided for their preterm babies in the neonatal intensive care unit (NICU) and how they perceived that their …

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Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield Jan 2022

Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield

Walden Dissertations and Doctoral Studies

AbstractOpioid use accounts for many deaths each day in the United States. Although research has shown that retention in medication assisted treatment (MAT) programs increases quality of life for those individuals with opioid use disorder (OUD) and decreases premature death, there has been limited research on the perspectives of individuals with OUD in MAT programs and why they remained in or left the programs. The purpose of this qualitative phenomenological study, guided by Merleau-Ponty’s theory of perception, was to explore the lived experiences of those with OUD treated in a MAT program. An algorithm type interview was conducted to ask …

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Hospital Ownership And Type As Predictors Of 30-Day Psychiatric Readmissions And Follow-Up, Zacquia Mckinley Jan 2022

Hospital Ownership And Type As Predictors Of 30-Day Psychiatric Readmissions And Follow-Up, Zacquia Mckinley

Walden Dissertations and Doctoral Studies

Studies have suggested that differences in hospital ownership structures impact the rates of 30-day hospital readmission and 30-day hospital follow-up in patients with psychiatric diagnoses. The purpose of this quantitative study was to examine the relationship between hospital ownership, hospital type, rates of 30-day psychiatric readmission, and rates of 30-day follow-up for psychiatric patients. This study drew on Donabedian's conceptual model of hospital quality assessment and used ANOVA testing for the four research questions concerning whether there is a significant relationship between 1) hospital ownership and inpatient psychiatric patient readmission within 30 days of discharge, 2) hospital type, and inpatient …

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Early Childhood Teachers’ Perspectives Of Job-Related Stressors And Decisions To Remain In Or Leave The Profession, Michelle Mertic Jan 2022

Early Childhood Teachers’ Perspectives Of Job-Related Stressors And Decisions To Remain In Or Leave The Profession, Michelle Mertic

Walden Dissertations and Doctoral Studies

Early childhood teachers are leaving the profession at high rates, citing job-related stress as the reason for their departure. These vacancies have a detrimental effect on the children enrolled in these programs and their future school readiness. The purpose of this qualitative study was to explore early childhood teachers’ perspectives of job-related stressors and how those stressors impact their decisions to remain in or leave the teaching profession. The conceptual framework used in the study was the coping-competence-context theory of teacher stress. The research questions addressed early childhood teachers’ perspectives of job-related stressors and how those stressors impacted teachers’ decisions …

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The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa Jan 2022

The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa

Walden Dissertations and Doctoral Studies

Homeless veterans with substance use disorders are among the most vulnerable and inaccessible populations in Virginia, which is evident by the lack of state and local resources. This cross-sectional study was conducted to present a retrospective assessment of the Treatment Episode Data Set (TEDS) to develop an understanding of the impact of housing arrangements on admission to long-term drug treatment centers among veterans in Virginia. To guide the study, the socioecological model was selected as the theoretical framework to better examine and understand the relationship between housing/living arrangement and admission to drug treatment centers among Virginia veterans. The aim of …

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Development Of An Insomnia Assessment Guideline For Bipolar Disorder, Daniel Oyewusi Oyewole Jan 2022

Development Of An Insomnia Assessment Guideline For Bipolar Disorder, Daniel Oyewusi Oyewole

Walden Dissertations and Doctoral Studies

AbstractBipolar disorder (BD) affects more than 1% of the world’s population regardless of race, sex, ethnicity, or socioeconomic status. BD is a severe and chronic mental illness characterized by insomnia, depressed and elevated mood, racing thoughts, mood swings, anxiety and depression, and suicide. Insomnia is prevalent in BD and occurs across all stages of BD, yet no guidelines exist. The clinical practice guideline entitled the Insomnia Assessment Guideline for Bipolar Disorder (IAGBD) was developed using best-practice evidence from the published literature. The IAGBD is a step-by-step process for assessing insomnia in bipolar patients. Clinicians follow a series of questions in …

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